Margaret Mary Sasse-Wallace, RDMS

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

81596

Practice address

1942 US Highway 20
Gordon, NE 69343-5400

Phone

(308) 282-1599

NPI assigned

Aug 14, 2008

Last updated

Aug 14, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other names 1

• Mrs. Meg Mary Sasse-Wallace Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1629224282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 US HIGHWAY 20",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "693435400",
            "telephone_number": "308-282-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 US HIGHWAY 20",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "693435400",
            "telephone_number": "308-282-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSE-WALLACE",
        "first_name": "MARGARET",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "RDMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": "267969",
            "primary": false
        },
        {
            "code": "2471M2300X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Mammography",
            "state": null,
            "license": "267969",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": "81596",
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": "81596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEG",
            "last_name": "SASSE-WALLACE",
            "middle_name": "MARY",
            "prefix": "MRS.",
            "credential": "RDMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Sonography Radiologic Technologist in Gordon, NE
• Providers in Gordon, NE by specialty
• Sonography Radiologic Technologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.